NPI | 1518937754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A039683) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A39683) |
207R00000X Internal Medicine (Licence: CA A39683) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A39683) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2012-02-07 |